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DR. BENNETT EDGERLY PH.D. LPC NPI 1114442316


NPI Information

NPI: 1114442316
Provider Name: DR. BENNETT EDGERLY, PH.D., LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1300 N 17TH AVE
GREELEY, CO
ZIP 80631
Phone: (970) 347-2120
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DR. Bennett Edgerly, PH.D., LPC is a professional counselor in Greeley, CO. DR. Bennett Edgerly, PH.D., LPC NPI is 1114442316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 N 17TH AVE
GREELEY, CO
ZIP 80631-584
Phone: (970) 347-2120

The enumeration date for this NPI number is 8/8/2017 and was last updated on 7/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalLPC.0016208COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LPC-15634OTHERARIZONAARIZONA LICENSE
2LPC.0016208OTHERCOLORADOSTATE LICENSING BOARD OF COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.